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Medical-Surgical Exam - Version A
The nurse is assessing a client with bacterial
meningitis. Which assessment finding indicates the
client may have developed septic emboli?
A. Cyanosis of the fingertips.
B. Bradycardia and bradypnea.
C. Presence of S3 and S4 heart sounds.
D. 3+ pitting edema of the
lower extremities.
Septic emboli secondary to meningitis commonly lodge
in the small arterioles of the extremities, causing a
decrease in circulation to the hands (A) which may lead
to gangrene. (B, C, and D) are abnormal findings, but do
not indicate the development of septic emboli.
Points Earned:
NURS 3356 Medical Surgical Exam A TEST EXAM Q&
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,NURS 3356 Medical Surgical Exam A TEST EXAM Q&
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0/1 Correct
Answer: A Your
Response: C
A client experiencing uncontrolled atrial fibrillation is
admitted to the telemetry unit. What initial
medication should the nurse anticipate administering
to the client?
A. Xylocaine (Lidocaine).
B. Procainami
de
(Pronestyl)
.
C. Phenytoin (Dilantin).
D. Digoxin (Lanoxin).
Digoxin (Lanoxin) (D) is administered for uncontrolled,
symptomatic atrial fibrillation resulting in a decreased
NURS 3356 Medical Surgical Exam A TEST EXAM Q&
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,NURS 3356 Medical Surgical Exam A TEST EXAM Q&
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cardiac output. Digoxin slows the rate of conduction by
prolonging the refractory period of the AV node, thus
slowing the ventricular response, decreasing the heart
rate,
NURS 3356 Medical Surgical Exam A TEST EXAM Q&
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, NURS 3356 Medical Surgical Exam A TEST EXAM Q&
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and effecting cardiac output. (A, B, and C) are not
indicated in the initial treatment of uncontrolled atrial
fibrillation.
Points Earned:
0/1 Correct
Answer: D Your
Response: A
Response: A
A 20-year-old female client calls the nurse to report
a lump she found in her breast. Which response is
the best for the nurse to provide?
A. Check it again in one month, and if it is still there
schedule an appointment.
B. Most lumps are benign, but it is always best to
come in for an examination.
C. Try not to worry too much about it, because usually,
NURS 3356 Medical Surgical Exam A TEST EXAM Q&
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